Individual
JODIE L WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
800 CRYSTAL FALLS PKWY, #4, LEANDER, TX 78641-3666
(512) 260-0405
(512) 260-0425
Mailing address
800 CRYSTAL FALLS PKWY, #4, LEANDER, TX 78641-3666
(512) 260-0405
(512) 260-0425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6054TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19700
AVESIS
TX
01
—
454320
NVA
TX
01
—
625436
CIGNA
TX
01
—
7774588
AETNA
TX
01
—
80-0117058
LIFE RE
TX
01
—
800117058
UNITED HELATH CARE
TX
01
—
81163Q
BLUE CROSS BLUE SHIELD
TX
01
—
914046
EYEMED
TX
Enumeration date
09/22/2006
Last updated
08/19/2008
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